Individual
MS. CONCETTA MARIA CUTAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 WEST AVE, HOLLEY, NY 14470-1115
(585) 638-5789
Mailing address
7 WEST AVE, HOLLEY, NY 14470-1115
(585) 638-5789
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274457-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02549264
—
NY
01
—
274457-1
NURSING LICENSE NUMBER
NY
Enumeration date
02/13/2007
Last updated
07/08/2007
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